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Laparoscopic Transabdominal Preperitoneal Approach with Abandon Sac Technique in Management of Large Inguinoscrotal Hernia; Randomized Clinical Trial
Faculty
Medicine
Year:
2022
Type of Publication:
ZU Hosted
Pages:
Authors:
Mustafa Mohammed Mustafa Aidi
Staff Zu Site
Abstract In Staff Site
Journal:
The Egyptian Journal of Hospital Medicine Pan Arab League of Continuous Medical Education Ain Shams University
Volume:
Keywords :
Laparoscopic Transabdominal Preperitoneal Approach with Abandon Sac
Abstract:
ABSTRACT Background: Inguinoscrotal hernia is the commonest type of all hernias. Although, Lichtenstein tension-free technique was the main procedure for its repair, laparoscopic transabdominal preperitoneal (TAPP) approach has been widely used, but with a great challenge for large size hernia. In this article, we described a modified laparoscopic trial in order to overcome this obstacle by transecting the large hernia sac, vice complete intra-abdominal inversion. Objective: This study aimed to evaluate the initial results of a modified TAPP technique (abandon sac trial), in laparoscopic management of large inguinoscrotal hernia type I. Patients and methods: Our study was conducted at Zagazig University Hospitals, on 50 cases of large inguinoscrotal hernia type I through the period from January 2021 and June 2022. Results: As regards surgical results, both scrotal edema and hematoma were reported in 6% and seroma in 12%. While there was no detected cases of either infection, funiculitis, chronic groin pain or recurrence. Postoperative pain was mild to moderate, and the hospital stay was 1-2 days only. Conclusion: A large inguinoscrotal hernia type I, can be managed safely with introduction of a slight modification on the TAPP laparoscopic method (abandon sac technique). With this modification, big size hernias will have a chance to be managed laparoscopically and obtained its advantages as small wound size and marked reduction of both postoperative pain, and recurrence.
Author Related Publications
Mustafa Mohammed Mustafa Aidi, "استخدام رقعة محلية لمنع حدوث ضيق بالشرج اثناء استئصال البواسير ROLE OF SIMULTANEOUS V-Y ADVANCEMENT FLAP DURING HEMORRHOIDECTOMY MILLIGAN-MORGAN IN PREVENTING ANAL STENOSIS", International journal of advanced research, 2016
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Mustafa Mohammed Mustafa Aidi, "دراسه مقارنه ما بين استخدام طريقة قياس الفارادو وطريقة قياس ريباسا فى تشخيص الالتهاب الحاد بالزائده الدوديه Comparative Study between Alvarado Score& Ripasa Score in Diagnosis of Acute Appendicitis", Journal of surgery, 2018
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Mustafa Mohammed Mustafa Aidi, "دراسة فاعلية وامان استئصال الزائده الدوديه بالمنظار الجراحى للسيدات الحوامل Safety and Efficacy of Laparoscopic Appendectomy in Pregnant Females", World journal of laparscopic surgery, 2018
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Mustafa Mohammed Mustafa Aidi, "دراسة فاعلية استخدام الدعامه المعدنيه ذاتية التمدد و ذات الاتجاهين والشكل Y فى علاج الضيق السرطانى للقنوات المراريه عند التفرع Efficacy of Y-shaped bilateral self-expandable metallic stent placement for the management of malignant hilar biliary strictures", The Egyptian journal of surgery, 2019
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Mustafa Mohammed Mustafa Aidi, ": دراسه مقارنه ما بين استخدام حقن الفوم لغلق الدوالى مدعوما بالاشعه التلفزيونيه و الغيار الجراحى متعدد الطبقات فى علاج القرح الوريديه المزمنه Duplex-guided foam sclerotherapy versus multiple-layer compression therapy in the treatment of chronic venous ulcers", The Egyptian journal of surgery, 2020
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Department Related Publications
Mohamed Mahmoud Mokhtar, "Comparison between the Bone Cutter With thermal Cautery, Conventional Method, Plastibell and Gomco for Circumcision in Neonates and Infants", THE EGYPTIAN JOURNAL OSPITAL MEDICIN, 2022
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Sam Mohamed Ali Amr, "Ordinary Dressing versus Dressing with Total Cast Offloading in Management of Diabetic Foot Heel Ulcer, Comparative Study", Zagazig university, 2022
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Walid Ahmed Abdel Hadi Hassan, "ALL IN ONE TECHNIQUE VERSUS LICHTENSTEIN TECHNIQUE FOR TREATMENT OF INGUINAL HERNIA IN ZAGAZIG UNIVERSITY HOSPITALS.", International journal Aadvanced Research, 2019
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Walid Ahmed Abdel Hadi Hassan, "A Comparative Study between Laparoscopic Repair and Open Repair of Pediatric Inguinal Hernia; Outcomes and Benefits", ACTA SCIENTIFIC paediatrics, 2019
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Mohamed Ali Baghdadi, "VALUE OF CRITICAL VIEW OF SAFETY TECHNIQUE IN LAPAROSCOPIC CHOLECYSTECTOMY", International Journal of Advanced Research, 2017
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